Background to this inspection
Updated
21 March 2019
The Inspection ¿ We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection team ¿ Consisted of an adult social care inspector.
Service and service type ¿ This domiciliary service provides personal care to people living in their own homes within the complex of a nursing home.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection ¿ This comprehensive inspection visit took place on 27 February 2019 and was announced. The provider was given 48 hours’ notice because the location provided a domiciliary care service to people who lived in their own homes within a nursing home grounds. We needed to be sure that we could access the office premises and speak with people.
What we did preparing for and carrying out this inspection ¿ Before our inspection we completed our planning tool and reviewed the information we held on the service. This included notifications we had received from the provider, about incidents that affect the health, safety and welfare of people supported by the service and previous inspection reports.
We also checked to see if any information concerning the care and welfare of people supported by the service had been received. We contacted the local contracts commissioning departments. This helped us to gain a balanced overview of what people experienced accessing the service.
As part of the inspection we used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection visit we spoke with a range of people about Edgbaston Beaumont, they included one person who used the service, a relative of a person who received care, the registered manager and one staff member.
We looked at care documentation for two people and records relating to the management of the service. We did this to ensure the registered manager had oversight of the service and they could respond to any concerns highlighted or lead the agency in ongoing improvements. We also looked at staffing levels, training records and recruitment procedures for staff.
Updated
21 March 2019
About the service:
Edgbaston Beaumont Nursing home provides domiciliary care to people who live in privately owned bungalows and apartments which are located within the complex. At the time of the inspection visit two people were using the service.
People’s experience of using this service:
One person who used the agency and a relative told us they felt safe whilst using the service. One person said, “I feel safe with [relatives] home being within the nursing home grounds and they can access the home for entertainment and meals it is really good.”
We spoke with one person who used the service and a relative. Both commented on how well they were supported. A relative said, “They are always very polite and encourage [relative] to do things and be more independent as possible.”
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. One person who used the service we spoke with confirmed this.
The service worked in partnership with healthcare professionals and families to ensure people’s health care needs were met. People were supported to attend healthcare appointments to ensure their health and wellbeing was maintained.
A relative we spoke with told us told us there were enough staff to ensure the person received support and enable them to care in a timely way. They told us the staff member had built up a good relationship with them and cared for their relative extremely well.
One person told us they were treated with respect by caring staff. They were happy with the continuity of staff and had built up relationships with the staff member and registered manager. They had no issues with staffing levels and their visit was always on time at the correct time of day.
The staff member we spoke with demonstrated a good understanding of their duties to support people who lived in their own homes to take their medication. This assisted them to protect people from the unsafe management of medicines.
We found Edgbaston Beaumont had systems in place to ensure they could meet people’s diverse and cultural needs. Care records we looked at evidenced people and where appropriate relatives were fully included in their support planning.
There were good opportunities for the both people who used the service and families to discuss any concerns or ideas that they had about the agency. Relatives were consulted about their care and contributed to any reviews or discussions about the service.
People who used the service and a relative stated the staff member and registered manager engaged with other organisations to help provide consistent care. We found care plans focused on maintaining their independence in all aspects of their support requirements.
The registered manager and organisation used a variety of methods to assess and monitor the quality of the service. These included, spot checks, auditing of the service and informal regular discussions with relatives and people who used the agency.
Rating at last inspection: The service was rated Good (Report published 1 April 2016.)
Why we inspected: This was a planned and scheduled inspection.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme or if any issues or concerns are identified.